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I could really use some help with this.


We have hired a PSW for additional care at the LTC home that my mother is at. The PSW is very dedicated. I noticed today, however, that she had given Mom a necklace with ‘love’ engraved on it. It’s a nice gesture, but it strikes me as something of a boundary violation. She’s not family, and feels a bit creepy. Or am I overthinking this?


I don’t know what to think, and could use input from the forum.

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Just as the people being cared for get attached to their helpers, it’s not uncommon for the helpers to get attached as well. Sounds like a kind and caring helper. I would lightly comment something like “you didn’t need to do that” or “we’ve been advised that jewelry can disappear in care homes” to discourage it in the future. Meanwhile, a “very dedicated” helper is worth gold
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GB2112 Jul 11, 2025
I so agree. If *Mom* is creeped out/uncomfortable, it would be one thing, but there's no mention of that. My mom has gotten many, many gifts from aides and helpers over the years. None of them have been well off, so I can only surmise that it's meant as much to them to give as for her to receive. There might not be much we can do for our loved ones with dementia as the disease progresses, but if giving them a gift can bring some joy to another person (the giver), I find that comforting and would be really sad to discourage that. I'm not knocking the OP for her discomfort at all; of course I don't know her, her family or the PSW. Just offering another perspective.
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I agree with you; this makes me uncomfortable.
It confuses the boundaries of a caregiver who is hired.
I would have a discussion. What is now done is done, but I would tell the PSW that her giving gifts to your Mom is her forming a relationship that is personal outside the bounds of her duties as a caregiver. That you understand her good intentions and what is done is done, but there should in future be a more professional approach, and gifts aren't appropriate.

Again, this is forming a personal/familial relationship with a client/patient who isn't fully cognizant. It's inappropriate. She may not know that. So be kind but firm. This is simply something that needs to be handled. Her relationship with your mother is not one of LOVE. It is one of caregiver. She may admire her, even have affection for her, but there is a limit to the boundaries. Those may CHANGE over time, if a caregiver is with someone a very long time. But for now this isn't appropriate. I think your warning bells are going off correctly. We have all sorts of questions about "gifts" on Forum, and in all truth I think they are inappropriate in most circumstances whether given by client or by worker. They blur boundaries that should not be blurred.
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Danielle123 Jul 7, 2025
Thank you, AlvaDeer. Sage advice, as always. I think that my warning bells are going off correctly too.
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I too would be uncomfortable, especially since it says LOVE, which is personal. This is such a thin line. You want the relationship to be friendly but professional too. I am pretty sure if she was an employee of the facility this would be a no no.

Tell her it was a nice gesture and your sure Mom loved it but some professionalism has to be maintained. You feel jewelry is too personal. Maybe bring her some flowers. Her favorite candybar or cookies. Or some baked goods if she wants to do something nice for Mom.

You could also ask the Nurse, she oversees the aides, what her thoughts would be.

I am not saying this will happen to you and Mom but there are stories on this forum where aides get to friendly with client and start asking for loans or take control. And it all starts with them being overly nice to the client.
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Danielle123 Jul 7, 2025
Joann29, thanks for your response. I think that I will say something along those lines the next time that I see her. ie./ Thank you for the gift, but it’s highly unnecessary. I also agree with you that engraved jewellery is too personal.
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I'm sure it's just a trinket of the kind shared by many kids and tweens and the word love is just a term of affection and doesn't mean there's an inappropriate bond. My mom's long time PSW periodically used to bring her little gifts - a treat from Tim's or a little nick-knack that caught her eye - and we just though it was being sweet and kind. I've also noticed that many younger people are a lot more free with spending money on this kind of little gesture than my generation was, and they aren't usually "keeping score" and feel they are owed anything in return.
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MaryKathleen Jul 13, 2025
My caregiver and I have formed a friendship that is good for both of us. Her husband even brings me doughnuts. Of course I am in my right mind (I think I am anyway LOL) and have had her for three years. Personally, when you spend every day with the same person I would hate to still have the cold professional environment.
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What a very sad state the world has come to when a PSW can not give a small token of love without being seen as "up to something".

I have to say that I am a hugger and I often tell people that I love them, even strangers that appear to need to have a little love given just because. Very rarely do people get weirded out, more often it is a big hug back and a thank you.
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JoAnn29 Jul 8, 2025
😁 I would be weirded out. My family were not huggers. It took me a long time to give family and friends hugs. They usually initiate it. I hate to shake hands. I was so glad during COVID that practice was stopped. Men are really not suppose to extend their hand to a woman. They are suppose to wait until a women extends her hand. I wish men practised this because I will not be extending my hand. No never abused just never liked it. I know WEIRD.

I agree its sad that we have to look at the world this way but that is how it is. You can't be naive.
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My mother's caregivers would hug her and tell her they loved her all the time. Had one of them given her a necklace or earrings, it would have touched her and me both. After mom died, I allowed her caregivers to take some of her prized Lladro figures home with them to remember her by.

Unless this SW gave your mom a solid gold necklace, I wouldn't give it a second thought. I don't think it's creepy or naive in the least to accept a gift and in fact I think it's insulting if it's returned.
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She may be being nice but I Would be worried incase she’s looking for something back
Elderly people are vulnerable and can be taken advantage of
I walked in on one of our ones who was asking my dad to gift him be if his hats
I told him the only thing my father would be gifting him is a kick up the rear and not to make jokes! Like that again
playing along gently and compassionately can sometimes help reduce confusion and distress.
You are right to be concerned
maybe a polite conversation
thank you fur the gift to mum but we’d prefer if you didn’t give anything further without our consent
or change her and tell mum she’s left the job
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TouchMatters Jul 12, 2025
Yes. I was thinking the same thing.
Caregiver (?) builds up a false caring in order to gain something monetary or otherwise. In other words, they have an agenda and it starts with the elder being groomed to believe this person genuinely cares when they have a hidden agenda.

On the other hand, I believe it has everything to do with the maturity of the care provider and mindset of care provider. . .

When I went on vacation, I found a cute necklace of a giraffe, which my client loved. So I bought it for her. It was only a cheap (nicely made) souvenir in a gift shop. She absolutely cherished it and her daughter had her mom buried with it on since it meant so much to her. However, it wasn't engraved and wasn't of much monetary value.



This daughter needs to intervene.
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You could confront the worker if you feel uneasy,be gentle with your approach. Just a thought though,maybe it was given to her as a remembrance and she had so many that she felt that your mom could appreciate it more? Mom's memory care were so nice to her,when she passed away, I gave some of her things to her aides and to their community room.
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How long have they been caring for your mother? Is this the only incident that has given you uneasiness with boundaries?

When my FIL had a volunteer "buddy", he became close with my MIL and FIL and would give them gifts on occasion. Nothing of great value and many were homemade meals or veggies out of the garden.

If they are not looking for anything in return I don't see the harm. Unless your mother is susceptible to ill intentioned people and tends to give away items and money I wouldn't approach the PSW. If you see a pattern of overly excessive gifting and your mother wanting to do something in return then I would speak with her one on one.
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Danielle123 Jul 11, 2025
Approximately 4 months now. There was another incident that gave me pause re: boundaries. I think that I will say nothing about it; however, if another boundary issue emerges, I will address it. Thanks for your thoughtful response.
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Do you think possibly your mom admired it on the PSW and asked for it? Very possible if your mom has any level of dementia. If it is inexpensive, the PSW may have let her have it simply because she admired it without her asking for it. You may want to simply ask the PSW why she gave it to her before discussing gift giving in the future. Are you sure the PSW gave it to her or maybe your mom "found" it somewhere. Please know I am not implying your mom is not a lovely woman, just that if there is any level of dementia, some do not understand what they are doing.
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While I do not know what a PSW is, this is a major alarm to me ... (a social worker ???)
No, it is inappropriate if this is a professional person caring for your mother.
Even if she was a volunteer.

Personal boundaries must be clear.

You need to make these decisions, as this is your mother.
I would have a talk with this person and share your feelings and concerns.

Talk about professional boundaries and what this means - to you - and to the PSW.

So much depends on the relationships and maturity of the PSW (?) care provider. Getting too attached in unhealthy ways will interfere with their decision making in their care-giving.

The other side ... the person getting the care / support often confuses a 'friend' with a paid 'caregiver' (even if not paid).

Yes, personal caring feelings develop, although from my experience, it is critical that the relationships is first build on TRUST and CARING, and second, maintaining a professional boundary.

You might want / need to flush out what a professional boundary means to you, and to the PSW.

Gena / Touch Matters
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JoAnn29 Jul 13, 2025
Personal Support Worker, like a CNA. Aide.
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Ask the PSW a very open question "Oooh do tell me about the necklace my mother is wearing".

See what she says. It will give you more idea of whether to be concerned.
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I agree with others that it might have been harmless. I would keep it in mind though for future reference. Some employees may give gifts to get in good with someone hoping to be left something in the will. Others are just caring people who might give away cheap things just to make the elderly patients happy.
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Well, what was your decision?
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I think it's probably fairly harmless, but I would still be uncomfortable if my mum had been given a necklace with the word "love" from a carer. It's too personal and overstepping the boundary between client and carer.
I expected Mum's carer to be kind but professional. Anything else would concern me that the carer may not be experienced or skilled enough to do her job.
One of Mum's carers did get upset when Mum went on to palliative care, but she showed that to me, outside in the corridor, not in front of Mum. I wasn't happy though because I was trying to keep it together for Mum, so I didn't want to have to deal with a carer's emotions. But I was nice to her because the carer was young and probably not used to looking after clients who were slowly dying, and she had always been kind and patient with Mum.
However, if she had been unprofessional, I would have asked for her to be removed from my mum's care team.
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"Are you sure the PSW gave it to her or maybe your mom "found" it somewhere."

In thinking about this, KPW gave you an excellent way to broach the subject with the PSW... something to the effect of "mom says you gave her that lovely necklace, I wanted to check and make sure this was the case, and mom didn't "borrow" it from another patient"... or something like that. I would bet if the PSW gave this to mom, she will go into a little bit of detail as to how that gift came to be.

Based on the PSW's answer, you can then decide if any boundaries have been uncomfortably or inappropriately crossed and proceed from there. 
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